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- W2392662851 abstract "The strength of the intact and four reconstruction techniques (figure-eight, docking, single strand utilizing interference screws, and a single strand) of the medial collateral ligament (MCL) of the elbow were compared. Twenty cadaveric specimens were tested with a cyclic valgus loading protocol. The peak loads to failure of the MCL reconstructions were inferior compared to the intact ligament (p The purpose of this study was to compare the initial strength of the intact medial collateral ligament (MCL) of the elbow and four reconstruction techniques. The docking and endobutton reconstructions showed equivalent peak load to failure. Improved interference screws are required before they are employed clinically. The average peak load to failure or 5mm of joint gapping was 142.5±39.4N for the intact, 53.0±9.5N for the docking, 52.5±10.4N for the endobutton, 41.0±16.0N for the interference screw, and 33.3±7.1N for the figure-eight reconstructions. The peak load to failure was higher for the intact specimens compared to any of the reconstructions (p 0.05). Twenty (ten pairs) unpreserved cadaveric upper extremities were mounted in a custom jig with the elbow at 90°, and a valgus force was applied 12cm from the elbow joint. The specimens were loaded starting at 20N with the load increased in increments of 10N (200 cycles at each load), until either complete ligament failure or a 5mm increase in the distance between the attachment sites of the MCL. The results support that a single strand or multistrand ligament reconstruction can be equivalent with respect to maximal peak loads and cyclic loading. There are concerns with regard to the use of interference screw fixation in the clinical situation." @default.
- W2392662851 created "2016-06-24" @default.
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- W2392662851 date "2008-03-01" @default.
- W2392662851 modified "2023-09-23" @default.
- W2392662851 title "A BIOMECHANICAL COMPARISON OF FOUR RECONSTRUCTION TECHNIQUES FOR THE MEDIAL COLLATERAL LIGAMENT OF THE ELBOW" @default.
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